Quality Assurance Auditor/Trainer, ED Facility, Profee And E/M

Essential Job Responsibilities

Thoroughly review and analyze medical records to identify pertinent diagnoses & procedures.

Review Medical codes for accuracy to ensure codes precisely reflect clinical documentation.

Ensure the integrity and precision of coded data.

Stay abreast of evolving coding guidelines, regulations, and industry best practices through continuous research.

Actively participate in coding audits and quality improvement initiatives to uphold and enhance coding accuracy standards.

Maintain optimal productivity levels while adhering to established coding quality and efficiency benchmarks.

Uphold strict patient confidentiality and privacy standards in strict compliance with HIPAA regulations.

Minimum Qualifications

Possession of one of the following AHIMA credentials: CCS; or one of the following AAPC credentials: CPC, or CIC.

Minimum of 1 year of experience in coding or QA for

Proficiency in ICD-10-CM and PCS coding systems, encompassing comprehensive knowledge of guidelines and conventions.

Competence in utilizing coding software and electronic health record (EHR) systems.

Strong analytical aptitude to interpret intricate medical documentation accurately.

Detail-oriented approach, ensuring precision and accuracy in all coding assignments.

Exceptional communication skills to facilitate effective collaboration with healthcare professionals.